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Background The WHO identifies climate change as the most significant threat to global health systems. Indigenous peoples, whose lives are deeply intertwined with nature, are particularly vulnerable to the impacts of these changes.Objective This study aimed to understand the perspectives of Indigenous stakeholders and public services managers on the interconnectedness of climate change and Indigenous health.Design A qualitative study with 22 Indigenous stakeholders and public service managers on climate change and perceived impact on Indigenous health.Setting and participants Indigenous stakeholders and public service managers on climate change and perceived impact on Indigenous health from Brazil. Data was collected through interviews incorporating two vignette videos depicting environmental and health scenarios. Thematic content analysis was used to analyse the data.Results The analytical process yielded six subcategories that were further grouped into three overarching thematic macro-categories: environmental degradation and climate change in the context of Indigenous peoples; environment, vulnerability and impact on Indigenous mental health; and actions and public health policies for Indigenous peoples.Conclusion The perspectives of Indigenous stakeholders and public service managers on the interconnectedness of climate change and Indigenous health were deeply entrenched in their lived experiences of loss of their lands from deforestation and environmental degradation. They argued strongly for the strengthening of public health policies aimed at the Indigenous peoples, to face many challenges, especially suicide, and to have a voice in decision-making. A sensitive approach that values Indigenous peoples' connections with nature is fundamental to promote their health and well-being.

O projeto de extensão da Universidade do Extremo Sul Catarinense denominado “Vivências e experiências na realidade da gestão e da assistência na atenção primária em saúde de Criciúma/SC”, em parceria com o Ministério da Saúde, conta com a imersão do acadêmico no ensino, na pesquisa, na extensão universitária e na participação social. O presente relato de experiência visa descrever as ações de conscientização acerca da importância da vacinação realizadas em um município de do extremo sul catarinense, pelo grupo de Educação em Saúde, do programa PET-Saúde. As experiências foram apresentadas em quatro momentos: escolha da “vacinação” como tema de educação em saúde a ser abordado com a população; pesquisas sobre o tema e definição das ações a serem realizadas; organização e desenvolvimento dos materiais; e realização das ações. As ações de educação em saúde acerca da vacinação possibilitaram aos acadêmicos um processo de imersão teórico-prático dentro da atenção primária em saúde do município, desenvolvendo ações para trabalhar fragilidades apresentadas nesse nível de assistência. A educação em saúde é uma importante ferramenta para a prevenção e promoção da saúde. A vivência dentro do Sistema Único de Saúde contribui para a formação acadêmica e profissional dos estudantes da área da saúde, estimulando uma visão mais ampla sobre as condições enfrentadas nesse sistema. Palavras-chave: Imunização; Atenção Primária Em Saúde; Extensão Universitária Vaccination as a health education topic: Experience report from the PET-Saúde project Abstract: The extension project of the University of Extremo Sul Catarinense, entitled "Experiences and realities in the management and primary health care assistance in Criciúma” (Santa Catarina State, Brazil), in partnership with the Ministry of Health, involves the immersion of students in teaching, research, university extension, and social engagement. This experiential report aims to describe the awareness-raising actions regarding the importance of vaccination in a municipality in the southernmost region of Santa Catarina by the Health Education group of the PET-Saúde program. The experiences were presented in four stages: selection of "vaccination" as the topic for health education with the population; research on the subject and definition of the actions to be carried out; organization and development of materials; and implementation of the actions. The health education activities on vaccination allowed the students to engage in a theoretical and practical immersion within the primary health care of the municipality, addressing weaknesses observed at this level of care. Health education is an essential tool for prevention and health promotion. The experience within the Unified Health System contributes to the academic and professional development of students in the health field, stimulating a broader understanding of the conditions faced within this system. Keywords: Immunization; Primary Health Care; University Extension

IntroductionThis study aimed to identify what indigenous university students in Brazil perceived to be important and feasible actions to protect the survival of indigenous peoples from climate change-related impacts.MethodsConcept mapping, which is a participatory mixed methodology, was conducted virtually with 20 indigenous students at two universities in Brazil. A focus prompt was developed from consultations with indigenous stakeholders and read “To protect the survival of the Indigenous Peoples from climate change, it is necessary to…”. Students brainstormed 46 statements, which they then sorted into clusters based on conceptual similarity. They rated each statement for importance and feasibility. Quantitative multivariate analyses of clusters and ratings were conducted to produce multiple visual maps of perceived actionable priorities. These analyses used the Group Wisdom TM software.ResultsStudents agreed on 8 clusters that reflect the factors that influence the survival of indigenous peoples-preservation of lands 0.16 (SD 0.13), protection of demarcated lands 0.31 (SD 0.10), indigenous health and wellbeing 0.35 (SD 0.14), ancestral customs 0.46 (SD 0.04), global and national actions 0.61 (SD 0.13), indigenous rights 0.64 (SD 0.23), collective living 0.71 (SD 0.21), and respect 0.75 (SD 0.14).DiscussionThe most actionable priorities are related to the respect for their lands and customs, educational initiatives in schools about the importance of indigenous peoples to society, guarantees for basic health rights, and culturally appropriate provision of care, with specific mention of mental healthcare. The findings aligned closely with the concept of indigenous self-determination, which is rooted in autonomy and respect for cultural diversity, and the right to make decisions that impact their lives, land, and resources.

BackgroundThe alarming increase in annual deforestation rates has had devastating consequences in climate change, and it is affecting Indigenous people, who depend entirely on the land for survival and has also weakened the rainforest's crucial role in stabilizing the global climate. Recognizing and respecting Indigenous people's needs and social, economic, and historical conditions influence health and healthcare. This study aimed to conduct online concept mapping workshops with university students to identify perceived important and feasible actions for improving the mental health of Indigenous people living in their territory in association with climate change.MethodsConcept mapping, a participatory mixed methodology, was conducted virtually with 20 Indigenous students at two universities in Brazil. A focus prompt was developed from consultations with Indigenous stakeholders and read—“To improve the mental health of Indigenous peoples in their territory during climate change crises, it is necessary to….”ResultsUniversity students organized 42 unique statements in 6 clusters that cover a wide range of topics: family support, 0.68 (SD 0.19); respect and understanding, 0.37 (SD 0.08); improvement actions, 0.52 (SD 0.07); public policies in favor of Indigenous people's mental health, 0.24 (0.09); health actions, 0.15 (SD 0.08); Indigenous training in health and its importance in improving mental health 0.32 (SD 0.07).ConclusionThese clusters range from community initiatives, public policies, health actions, and strengthening professional services in Indigenous communities. These all provide numerous concrete ideas for developing interventions designed to address mental health challenges associated with climate change.

Resumo Introdução A imunização da gestante parece proteger o bebê por meio da transferência passiva de anticorpos e ter um impacto na prevenção da doença em bebês que ainda não iniciaram a vacinação contra coqueluche. Objetivo Analisar o comportamento dos registros de hospitalizações por coqueluche em crianças menores de 1 ano de idade, conforme a cobertura da vacina dTpa para gestantes. Método Trata-se de um estudo ecológico de caráter observacional e quantitativo dos registros de hospitalizações por coqueluche, em crianças menores de 1 ano de idade, no Sul do Brasil, durante o período de 2007 a 2017. Os dados foram obtidos por meio do Sistema de Informação Hospitalar no DATASUS. Resultados No período analisado, foram registradas 342.139 hospitalizações por doenças respiratórias em crianças menores de 1 ano, sendo que 3.062 foram por coqueluche. No período pré-vacinal, a média anual foi de 102,2/100.000/ano e, no período pós-vacinal, foi de 46,8/100.000/ano, representando uma queda de 54,2% no número de registros, variando de 27,8/100.000/ano em 2007 a 139/100.000/ano em 2013, caindo para 47,9/100.000/ano em 2017. Conclusão Houve uma redução no número de registros de hospitalizações por coqueluche após a introdução da vacina dTpa, mesmo com uma cobertura vacinal abaixo de 50%.

ABSTRACT Purpose: to identify the understanding of health of college students enrolled in health programs of a university in the South of Brazil. Methods: a qualitative, descriptive and exploratory research conducted by means of an online questionnaire with students of health programs. The data were analyzed according to the thematic content analysis with the aid of Atlas.ti software. Results: there were 233 answers, structured in 20 codes, 7 subcategories and 3 categories: health associated with well-being, balance and quality of life; health connected with the biological and absence of diseases; and health related to the capacity to act and the notion of wholesomeness. Conclusion: the understanding of health for college students is expressed in a polysemic way, but with a predominating comprehension linked to the notion of well-being and balance.

Objetivo: Avaliar o efeito antibacteriano de extratos de plantas de uso popular sobre bactérias relacionadas ao desenvolvimento da cárie e infecções endodônticas. Métodos: Estudo experimental realizado na Universidade do Extremo Sul Catarinense, em 2015, no qual tinturas de Artemisia absinthium, Laurus nobilis, Bidens pilosa, Achillea millefolium L e Foeniculum vulgare, nas concentrações hidroalcoólicas de 5%, 10%, 15%, 20% em meio de cultura ágar Mueller Hinton, tiveram sua ação antibacteriana mensurada contra cepas de S. mutans e E. faecalis. Usou-se o método de difusão em meio sólido e a sensibilidade inibitória foi analisada pela presença e tamanho de halos de inibição, sendo grupo controle a clorexidina 0,12%. Utilizou-se nível de significância p

This study presents the clinical characteristics and systemic disorders of patients seen at a university clinic of oral surgery. Descriptive study that evaluated 304 records of patients undergoing surgical procedures in a clinic of Oral Surgery from 2013 to 2014. Most patients were male (n=154; 50.7%), aged 8 to 78 years, and had some kind of systemic change (n=144; 47.4%). The procedures were performed over the extractions (54.3%, n=165), and removing root remainders (n=165; 55.6%). There were 35 (11.5%) cases of clinical complications and 101 (33.2%) had harmful habits with potential to interfere in the pre, trans and postoperative periods. Systemic disorders were significantly associated with age (p

Chronic Noncommunicable Diseases (NCD) constitute a major health problem in Brazil and corresponds to about 70% of the causes of death. The most common are systemic arterial hypertension and diabetes mellitus, which require the patients to be more closely controlled for its treatment and management². This study aimed to analyze the knowledge, attitudes and adherence to the treatment of individuals with arterial hypertension and associated type 2 diabetes mellitus, accompanied by a Family Health team. This was a cross-sectional, descriptive and prospective quantitative approach. The population consisted of patients diagnosed with hypertension and type 2 diabetes mellitus, enrolled in the HIPERDIA program. Data were collected from August to November of 2014 through the Diabetes Knowledge Scale Questionnaire (DKN-A); Diabetes Attitudes Questionnaire (ATT-19) and Martín-Bayarre-Grade (MBG). 102 individuals were interviewed, the majority of whom were women, married, white, with low schooling, and with a median age of 68.5 years. Everyone was on medication and most of them did not practice any kind of physical activity. An unsatisfactory result was found in relation to the knowledge about the disease, negative attitude regarding the management of the disease, and partial adherence to the treatment. It is thus considered that individuals with hypertension and diabetes mellitus did not modify their attitudes regarding the adoption of healthy life habits for the more adequate coping of the disease.

Abstract INTRODUCTION: Hepatitis C is a public health problem of global dimensions, affecting approximately 200 million people worldwide. The main objective of this study was to estimate the incidence rate of hepatitis C in Brazil during the period between 2001 and 2012. METHODS: An epidemiological, temporal, and descriptive study was performed using data from the Information System for Reportable Diseases. RESULTS: Between 2001 and 2012, a total of 151,056 hepatitis C cases were recorded, accounting for 30.3% of all hepatitis notifications in Brazil. The average gross coefficient for the analysis period was 6.7 new cases per 100,000 inhabitants. The regions with the highest rates were the Southeast region (8.7 new cases/100,000 inhabitants) and the South (13.9 new cases/100,000 inhabitants). There was a predominance of men with respect to the incidence rate (8.0 new cases/100,000 inhabitants) compared to women (5.5 new cases/100,000 inhabitants). Injection drug use was the most common source of infection, and members of the white race, residents of urban areas, and those aged 60 to 64 years had the highest incidences. CONCLUSIONS: Over the last 10 years, the incidence of hepatitis C in Brazil has increased, mainly in the South and Southeast. The adoption of fast, accurate diagnostic methods, together with epidemiological awareness, can facilitate early intervention measures for adequate control of the disease.

RESEARCH OBJECTIVE: The objective of this study was to understand the elderly care policies approved in Brazil and to identify how the epidemiological profile of the population, especially the elderly is included in the curriculum and activities of the various undergraduate programs in the health area of UNESC. THE RESEARCH PROBLEM AND METHODS: The question is whether curricular guidelines and institutions address this need. It is a collective production, with a qualitative approach, based on a documentary analysis of the legislation and policies of the elderly in Brazil. Likewise, the documentary analysis of the Curriculum Guidelines of UNESC undergraduate programs was carried out as well as a survey of image records of activities carried out with seniors to illustrate some projects and actions developed. THE PROCESS OF ARGUMENTATION: The analysis related to the subject described is based, on the one hand, on the study of the literature related to the issues discussed (theoretical aspect of the publication) and, on the other hand, on the results of the analysis of public policies, curricular guidelines, course contents and the relevance of practical actions to the studied subject. RESEARCH RESULTS: The results of the research indicate that in the scope of the University the graduate courses in the health area began to rediscover the professional formation from the principles of SUS and the national and regional epidemiological aspects, including the needs of the elderly, mainly from the approval of the attention to the elderly. CONCLUSIONS, INNOVATIONS AND RECOMMENDATIONS: The university has to tease more and more on the subject with its teachers, giving those tools for teaching gerontology and geriatrics and the need for a qualified formation.

ResumoObjetivo:O estudo tem por objetivo analisar a aquisição de conhecimentos sobre os temas: Saúde Bucal, Prevenção ao uso de Drogas e Sexualidade, junto a adolescentes matriculados na rede pública de ensino do Sul de Santa Catarina.Métodos:Pesquisa de campo, temporal, prospectiva, analítica, realizada em duas escolas públicas do sul catarinense. Amostra de adolescentes de ambos os sexos, idades entre 11 e 17 anos, variou conforme tema: 108 (saúde bucal), 105 (prevenção-drogas), 99 (sexualidade). Para cada ação foi construído e aplicado questionário (pré/pós-ação) com temas específicos. Pesquisa aprovada Comitê Ética nº 278.224/2013.Resultados:As ações, mesmo que pontuais, apresentaram resultados positivos quanto ao aumento de conhecimento dos adolescentes nas temáticas sobre prevenção de drogas e sexualidade, fato que não se configurou na temática saúde bucal.Conclusão:Os resultados estão relacionados a fatores que despertaram o interesse dos adolescentes como: métodos empregados que favoreceram o diálogo, troca de experiências e reflexão sobre as próprias práticas, relacionamentos com grupos de amigos/famílias.

OBJECTIVEAnalyzing the quality of sleep of hypertensive patients registered in the national registration system and monitoring of hypertensive patients.METHODSA cross-sectional study of quantitative and descriptive analyses with 280 hypertensive patients registered in the National Program of Hypertension and Diabetes of the Federal Government in the months from August to October 2011. Questionnaires were used which allowed for tracking sociodemographic data on hypertension and Pittsburgh Sleep Quality Index (PSQI).RESULTSThe prevalence of poor sleep quality among respondents (156 hypertensive patients) and high rates of using medication for sleeping (106 hypertensive patients) was observed. Other relevant data refers to the quality of sleep among hypertensive patients using sleep medication compared to those who do not use it (p≤0.01).CONCLUSIONIndividuals with high blood pressure have a negative association with sleep quality.

ResumoTrata-se de um estudo transversal, descritivo com abordagem quantitativa, com população configurada como censitária. Os instrumentos utilizados foram o Inventário dos Sintomas de Estresse para Adultos de Lipp (ISSL), a Medida de Independência Funcional (MIF), a Versão Brasileira do Questionário de Qualidade de Vida SF-36 e o Questionário de Avaliação da Sobrecarga do Cuidador Informal (QASCI). Possui o objetivo de avaliar a sobrecarga, a qualidade de vida e a presença de estresse em cuidadores das Estratégias de Saúde da Família (ESFs) de Criciúma, no Estado de Santa Catarina. A maior proporção dos cuidadores foram do gênero feminino (90,9%), com idade média de 51,7 (±11,0) Em relação ao grau de parentesco, 45,5% eram filhos(as), e a MIF Global dos sujeitos ao qual era dedicado o cuidado foi de 70,2 (±40,1). Entre os cuidadores, 81,8% apresentaram presença de estresse e evidenciaram sobrecarga elevada. Foi observada uma correlação positiva moderada (rs=0,571) entre a MIF Global e Dor (SF-36), considerada estatisticamente significativa (p=0,001). Voltar à atenção aos cuidadores, entendendo as barreiras físicas, sociais e emocionais envolvidas no ato de cuidar, torna-se imprescindível no âmbito da saúde coletiva, tanto para proporcionar maior qualidade de vida e menor sobrecarga nos cuidadores quanto a quem é cuidado.

To establish the diagnostic accuracy of magnetic resonance imaging (MRI) as an auxiliary means for the diagnosis of oral cancer through a systematic review and meta-analysis.An exhaustive search of publications from 1986 to 2016 was performed of Medline, Embase and Cochrane (and related databases), including grey literature. Primary diagnostic accuracy studies that assessed oral cancer (target condition) using MRI (index test) were included. Diagnostic threshold, sensitivity and meta-regression analyses were performed. A meta-analysis was performed using Meta-DiSc® v. 1.4 software.A total of 24 primary studies were assessed, comprising 1,403 oral cancer lesions. Nine studies used diffusion-weighted MRI, with a diagnostic odds ratio (DOR) of 30.7 (95% confidence interval [CI]: 12.7-74.3) and area under the curve (AUC) of 0.917 (95% CI: 0.915-0.918); seven studies used dynamic contrast-enhanced MRI, with a DOR of 48.1 (95%CI: 22.4-103.2) and AUC of 0.936 (95% CI: 0.934-0.937); and 13 studies used traditional MRI, with a DOR of 23.9 (95%CI: 13.2-43.3) and AUC of 0.894 (95% CI: 0.894-0.895). Meta-regression analysis indicated that the magnetic field strength may have influenced the heterogeneity of the results obtained (p = 0.0233) using traditional MRI. Sensitivity analysis revealed a discrete reduction of inconsistency in some subgroups.The three types of MRI assessed exhibited satisfactory accuracy compared to biopsy. Considering the relevance of early treatment and screening and that better health care results in improved survival rates and quality of life for oral cancer patients, we suggest the use of MRI as a part of the pre-treatment and monitoring protocol at public health services.

Introduction The aim of this study was to estimate the incidence of tuberculous meningitis in the State of Santa Catarina (SC), Brazil, during the period from 2001 to 2010. Methods Ecological, temporal, and descriptive methods were employed using data obtained from the Information System on Disease Notification (Sistema de Informação de Agravos de Notificação). Results One hundred sixteen reported cases of tuberculous meningitis occurred from 2001 to 2010, corresponding to 1.2% (0.2 cases/100,000 inhabitants) of all meningitis cases reported in SC. There was a predominance of new cases in males, corresponding to 56.9% of new cases (0.2 cases/100,000 inhabitants; males vs. females; p=0.374), in patients aged 20-39 years, corresponding to 52.6% of new cases (0.5 cases/100,000 inhabitants; 20-39 years versus others; p

The objective of this study was to determine the prevalence of Hepatitis C virus (HCV) in adults from Criciuma-SC and to search factors associated with the viral transmission. METHODS: During a health campaign, a questionnaire about factors associated to HCV transmission and tests to detect HCV were applied. A representative sample of the population was considered with 300 voluntaries. Fisher's Exact test, Mann-Whitney and Kappa tests were performed (p values < 0.05 were considered significant). RESULTS: HCV was detected in 7/ 457 (1.53 %) voluntaries. Subjects with positive HCV had a mean of 5.7 (+/- 4.1 SD) sexual partners in the last 10 years, which was significantly higher than those with negative anti-HCV (mean sexual partners 2 +/- 2.5 SD) (p= 0.01). CONCLUSION: The prevalence of HCV in a voluntary population of adults from Criciuma-SC was high and there was significant association between positive anti-HCV and higher number of sexual partners.El estudio tuvo como objetivo determinar la presencia del virus de la Hepatitis C (VHC) en adultos de la ciudad de Criciúma-SC y buscar factores relacionados a la transmisión viral. MÉTODOS: en una campaña de salud sobre Hepatitis C fue aplicado un cuestionario sobre factores relacionados a la transmisión del VHC; se realizaron pruebas para detectar el virus. Se estableció, como muestra representativa, la participación de 300 individuos de la población. Fueron aplicadas los pruebas Exato de Fischer, Mann-Whitney y Kappa (con valores significativos de pO estudo objetivou determinar a prevalência de vírus da hepatite C (HCV) em adultos de Criciúma, SC, e procurar fatores relacionados à transmissão viral. MÉTODOS: em uma campanha de saúde sobre hepatite C foi aplicado questionário sobre fatores relativos à transmissão de HVC e testes de detecção viral. Estabeleceu-se 300 participantes como amostra representativa da população. Foram aplicados os testes Exato de Fischer, Mann-Whitney e Kappa (significativos valores de p

Introduction: The number of people with diabetes is increasing due to population growth, aging, urbanization, and increasing prevalence of obesity and physical inactivity. In Brazil, at the end of the 80s, a multicenter study showed that the prevalence of DM2 occurred at about 8% of the population, data confirmed by WHO. There is a strong link between type 2 diabetes and the presence of DNA damage, mainly related to the persistence of hyperglycemic state and excessive production of free radicals. Objective: Knowing that vitamin D has beneficial effects on glucose homeostasis, the aim of this study was to evaluate the influence of vitamin D supplementation in the modulation of genomic instability and other parameters evaluated in type 2 diabetes mellitus patients Materials and Methods: We evaluated 79 patients with type 2 diabetes mellitus, registered in the Integrated Clinic of University of Southern Santa Catarina. Participants received 4000UI vitamin D3 (25(OH)D) supplementation daily for eight weeks. To perform the comet assay, doses of 25(OH)D and fasting glucose blood collection was performed at the beginning, at the end of supplementation, and after 4 weeks at the end of supplementation. Results: Vitamin D3 supplementation for eight weeks proved to be enough to significantly increase blood levels of 25(OH)D (P

A saúde não é meramente a ausência de doenças. Múltiplos fatores interferem no bem estar das pessoas. O Programa de Educação para o trabalho (PET Saúde) realizou o diagnóstico de vida e saúde da comunidade Vila Belmiro em Criciúma/SC, tendo como foco a violência urbana. O PET tem como objetivo o ensino associado à práxis, ou seja, a construção do conhecimento de forma interligada entre as profissões, que permitam o diálogo entre os diversos saberes, associado à prática. Este estudo é qualiquantitativo, exploratório desenvolvido na Delegacia da Mulher e de policia que atende os bairros Vila Belmiro, Jardim União e Bairro progresso de Criciúma-SC. A coleta de dados ocorreu a partir do registro das ocorrências registradas no ano de 2009. Os dados foram discutidos a partir de análise simples.

O objetivo da pesquisa foi identificar como são planejadas as ações de educação em saúde pela equipe multiprofissional na Estratégia Saúde da Família. Estudo de abordagem qualitativa realizado nas Estratégias Saúde da Família pertencente a uma regional de saúde com uma amostra de oito enfermeiras gerentes dessas unidades. As dificuldades para desenvolver as ações educativas estão relacionadas ao comprometimento da equipe, adesão da comunidade, falta de recursos humanos, materiais e financeiros e falta de apoio por parte dos gestores. É imprescindível o constante aprimoramento do conhecimento e prática dos profissionais para desenvolver as ações de educação em saúde.

O presente estudo objetivou conhecer os limites e possibilidades referentes às orientações realizadas pelos Agentes Comunitários de Saúde – ACS sobre a utilização de medicamentos pelas famílias atendidas pelas Estratégias de Saúde da Família – ESF. Trata-se de uma pesquisa qualitativa, descritivo-exploratória e de campo. Aplicou-se entrevista semiestruturada com 15 ACS de oito unidades da Estratégia de Saúde da Família de um município do extremo sul de Santa Catarina. Os dados foram analisados pela categorização de dados. Os maiores problemas relatados pelas ACS na utilização das medicações pelas famílias foram relacionados a: armazenamento de medicação; automedicação; horário e quantidades incorretas; interação e reação adversa dos medicamentos; dificuldade de entendimento e adesão das famílias às orientações; e uso associado de plantas medicinais com medicações de uso contínuo. Sugere-se a partir dos resultados da pesquisa a capacitação das ACS para o uso racional de medicamentos, sendo que essa atividade poderá ser desenvolvida pelos farmacêuticos dos Núcleos de Apoio à Saúde da Família – NASF. A assistência farmacêutica na ESF pressupõe uma mediação entre o saber das ACS e o saber das famílias assistidas, o que implica a escuta atenta, diálogo mútuo, identificando as necessidades dos familiares e busca da formação de vínculos com a comunidade e o uso racional de medicamentos.

A pesquisa intitulada “Autonomia profissional: um estudo de caso comparativo entre a percepção de um enfermeiro da rede pública versus rede hospitalar”, objetivou identificar a concepção destes enfermeiros acerca de autonomia. Foi desenvolvido no mês de abril e maio de 2008; em uma UBS_ESF e um hospital de Criciúma/SC. A coleta de dados se deu por entrevista, após assinatura do Termo de Consentimento Livre e Esclarecido. Encontramos conceitos de autonomia diversificados, que variaram entre autonomia do faço o que quero até autonomia que respeita os saberes e ouve os demais membros da equipe (Segundo Heller). Porém, ainda se encontra velado nos princípios da autonomia questões que se relacionam com poder sobre o outro. É necessário que as academias discutam mais as questões filosóficas da autonomia do enfermeiro.

Estudo transversal, com abordagem quantitativa e qualitativa, tem por objetivo identificar as alterações manifestadas pelas mulheres no climatério, a partir de um mapeamento no município estudado. Participaram 123 mulheres com idade entre 40 e 60 anos, em uma Unidade Básica de Saúde de referência do bairro centro, situada em um município da região Sul de Santa Catarina e, também nos domicílios, por meio de visitas domiciliares. Utilizou-se roteiro de entrevista, com questões abertas e fechadas. Entre todas as variáveis, destacou-se a ansiedade com 74,8% (n=92) dentre a amostra atingida. Através de análises multivariadas, as variáveis se dividiram em dois grupos (ansiedade e depressão 35,8% (n=44) X insônia/cefaléia/fadiga/irritabilidade 26,8% (n=33); porém, através do teste qui quadrado dePearson, não houve resultado comparativo significativo. É essencial o papel do Enfermeiro na orientação e promoção à saúde das mulheres no período do climatério, fornecendo apoio e orientação a cerca desta nova etapa da vida.

Este estudo quantitativo, prospectivo, transversal e descritivo teve como objetivo identificar o entendimento e a adesão dos acadêmicos da primeira e oitava fases de um curso de graduação em Enfermagem sobre ser doador de sangue. Para o desenvolvimento da pesquisa foi utilizado um questionário com 29 questões que abordavam conhecimentos, atitudes e práticas relacionadas à doação sanguínea. Dos acadêmicos de enfermagem que participaram da pesquisa 18,1% (n= 15) afirmam “ser” doador de sangue, e 63,9%(n= 53) não doadores. Dos não doadores (n= 53), 81,13% (n= 43) doariam se fossem solicitados. Quando questionados sobre o que os levou a doar, 53,33% (n= 8) responderam doar por vontade própria e 26,66% (n= 4) por um familiar/ amigo ou conhecido estar precisando. Os fatores que permitem a doação demonstram a necessidade de maiores esclarecimentos sobre o assunto e sobre a implantação de campanhas e incentivos à prática da doação.

The present study had for objective to identify the social aspects of the Workers of the Sex of the municipal district of Cricima - SC, that they make possible or they limit the education development in health. It was delineated as character research qualitative, descriptive and of field. The data were collected through recorded interviews, systematic observation and annotations in field diary. The interviews happened amid the streets of the city, tends as participants the own Workers of the Sex act in the streets of the Central Square and Avenue. The analysis of the collected data was made through analysis of the data. In a condensed way, the results of the data go back your glance to the money as being great motivate of the prostitution, be for they get great amounts quickly or the own financial need. These workers are exposed and they suffer violence in the streets. Its necessary the development of continuous works with this population as form of creating entail with them.

ABSTRACT Objective: The aim of the present study was to investigate the depressive symptoms and changes in neurotrophins (BDNF, NGF, NT-3), and cortisol levels in serum of peripheral blood from ostomy patients compared to healthy control group. Methods: We evaluated ostomy (n = 29) and healthy control (n = 30) patients. The neurotrophin (BDNF, NGF, NT-3), and cortisol levels were assessed by ELISA in serum of peripheral blood. Depressive symptoms were defined based on the Hamilton Depression Rating Scale (HDRS), and major depression disorder was based on clinical interviews and was confirmed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Results: The results showed a significant decrease in BDNF levels and, a significant increase in NT-3 levels in serum of peripheral blood from ostomy patients when compared to healthy controls. The levels of NGF and cortisol showed no significant differences between groups. The depressive symptom evaluations by HDRS demonstrated a significant increase in ostomy patients when compared to healthy controls. The major depression disorder diagnosis by SCID-I showed no significant difference between groups. Conclusion: Our results suggest ostomy triggers significant depressive symptoms and alterations in neurotrophins levels in serum of peripheral blood samples collected from these patients.

Objective The present study assessed the prevalence of depressive disorders and associated factors in a sample of elderly persons in the south of Santa Catarina. Methods A cross-sectional study based on population data was performed, evaluating 1021 elderly individuals aged between 60 and 79 years. Home interviews were carried out using the Portuguese version of the Mini International Neuropsychiatric Interview (MINI), in order to collect demographic data, information on hypertension and reports of acute myocardial infarction. The disorders studied were current depressive episode, dysthymia and a comorbidity of a depressive episode and dysthymia, representing double depression. The comparison of mean age and prevalence was made with the t-test and other associations were analyzed using the Chi-squared test. Results The prevalence of depression was 26.2%, while 5.5% of the sample suffered from dysthymia and 2.7% experienced double depression. Risk factors for depression were: nine or more years of schooling [PR = 1.44 (1.17 to 1.77); p

ResumoObjetivo:O estudo tem por objetivo analisar a aquisição de conhecimentos sobre os temas: Saúde Bucal, Prevenção ao uso de Drogas e Sexualidade, junto a adolescentes matriculados na rede pública de ensino do Sul de Santa Catarina.Métodos:Pesquisa de campo, temporal, prospectiva, analítica, realizada em duas escolas públicas do sul catarinense. Amostra de adolescentes de ambos os sexos, idades entre 11 e 17 anos, variou conforme tema: 108 (saúde bucal), 105 (prevenção-drogas), 99 (sexualidade). Para cada ação foi construído e aplicado questionário (pré/pós-ação) com temas específicos. Pesquisa aprovada Comitê Ética nº 278.224/2013.Resultados:As ações, mesmo que pontuais, apresentaram resultados positivos quanto ao aumento de conhecimento dos adolescentes nas temáticas sobre prevenção de drogas e sexualidade, fato que não se configurou na temática saúde bucal.Conclusão:Os resultados estão relacionados a fatores que despertaram o interesse dos adolescentes como: métodos empregados que favoreceram o diálogo, troca de experiências e reflexão sobre as próprias práticas, relacionamentos com grupos de amigos/famílias.